How are UTIs related to VUR?

Frequent and recurrent febrile UTIs in children could be a symptom of VUR. In fact, VUR is present in nearly one third of children with a UTI1

It is important to understand, however, that reflux does not cause UTIs, and conversely UTIs do not cause reflux.

What are the symptoms of VUR?

The main symptom of VUR is frequent and persistent febrile UTIs. There may also be difficulty with toilet training. Another symptom is an inability for the child to gain weight (failure to thrive). Children with VUR tend to be small for their age.2, 3

 

References

  1. Santen SA, Altieri MF (2001). Pediatric urinary tract infection. Emergency Medicine Clinics of North America, 19(3): 675–690.
  2. Atala A, Keating MA (2002). Vesicoureteral reflux and megaureter. In PC Walsh et al., eds., Campbell's Urology, 8th ed., vol. 3, pp. 2053–2116. Philadelphia: Saunders.
  3. Tanagho EA (2000). Vesicoureteral reflux. In EA Tanagho, JW McAninch, eds., Smith's General Urology, 15th ed., pp. 221–236. New York: Lange Medical Books/McGraw-Hill.